13D Filing: Kim D Blickenstaff and Tandem Diabetes Care Inc (NASDAQ:TNDM)

NAMES OF
REPORTING PERSONS

KIM D. BLICKENSTAFF

CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP (SEE INSTRUCTIONS)

(a)  ☐        (b)  ☐

SEC USE ONLY

SOURCE OF FUNDS (see instructions)

PF

CHECK IF DISCLOSURE OF LEGAL
PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) OR 2(e) (see instructions)  ☐

CITIZENSHIP OR PLACE OF
ORGANIZATION

USA

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

SOLE VOTING POWER

1,518,468

SHARED VOTING POWER

2,143,572

SOLE DISPOSITIVE POWER

1,518,468

SHARED DISPOSITIVE POWER

2,143,572

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

3,662,040 (1)(2)

CHECK IF THE AGGREGATE AMOUNT IN ROW
(11) EXCLUDES CERTAIN SHARES (see instructions)  ☐

PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW (11)

7.1% (1)(2)(3)(4)

TYPE OF REPORTING PERSON (see
instructions)

IN